/ 2016-2017 VERIFICATION WORKSHEET
715.675.3331, ext. 5862 w / V4- Custom

Page 1 of 2

Page 1 of 2

What Does Verification Mean?

Verification is the process used to check the accuracy of information submitted by students on their financial aid application. The Federal Processor chooses student applications for verification at random through computer edits.

The U.S. Department of Education requires that colleges check the accuracy of the information provided on the 2016-2017 Free Application for Federal Student Aid (FAFSA) or the Renewal Application. We must verify this information before you are awarded financial aid. If there are differences between your FAFSA and this information (including your federal tax return), we will update your application and recalculate your eligibility.

**PROCESSING OF YOUR AID HAS STOPPED UNTIL THIS FORM AND ALL DOCUMENTS ARE RETURNED**

Page 1 of 2

A. Student Information
Last Name First Name M.I. / NTC Student ID
Address (include apt. no.) E-mail Address / Date of Birth
City State ZIP Code / Phone Number (include area code)
B. High School Completion Status

Provide one of the following documents that indicate your high school completion status when you begin college in 2016-2017:

§  A copy of your high school diploma.

§  A copy of your final official high school transcript that shows the date when the diplomas was awarded.

§  A state certificate or transcript you received after you passed a state-authorized examination (GED test, HiSet, TASC, or other state-authorized examination) that the state recognizes as the equivalent of a high school diploma.

§  If you completed secondary education in a foreign country, a copy of your “secondary school leaving certificate” or similar document.

§  An academic transcript that indicates you successfully completed at least a two-year program that is acceptable for full credit towards a bachelor’s degree.

§  If state law requires a homeschooled student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a copy of that credential.

§  If state law does not require a homeschooled student to obtain a secondary school completion credential for homeschool (other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by the student’s parent or guardian, that lists the secondary school courses the student completed and documents the successful completion of a secondary school education in a homeschool setting.

C. Child Support Paid

Did you, your spouse (if married), or your parent (if their information was required on the FAFSA) pay child support in 2015? Please check YES____ or NO____. If yes, list below the name(s) of the person(s) who paid the child support, the name(s) of the person(s) to whom the child support was paid, the name(s) and age(s) of the children for whom the child support was paid, and the total annual amount of child support that was paid in 2015 for each child.

Name of Payer / Name of the Recipient / Name and Age of the Child Supported / Amount Paid

Note: If we have reason to believe that the information regarding child support paid is inaccurate, you will be required to submit supporting documentation such as:

§  A signed statement from the individual receiving the child support certifying the amount of child support received; or

§  Documentation that child support payments were made (e.g., copies of child support checks, money order receipts, child support documentation from Social Services, or similar records of electronic payments having been made).

D. Receipt of SNAP Benefits

Did you, your spouse (if married), or your parent (if their information was required on the FAFSA) receive benefits from the Supplemental Nutrition Assistance Program or SNAP (formerly known as food stamps) any time during the 2014 or 2015 calendar years? Please check YES____ or NO____. Note: Documentation may be requested by the school if we have reason to believe that the information regarding the receipt of SNAP benefits is inaccurate.

E. Identity Verification

Identity and Statement of Educational Purpose

(To Be Signed at Northcentral Technical College)

You must appear in person at Northcentral Technical College to verify your identity by presenting a valid government-issued photo identification (ID), such as, but not limited to, a driver’s license, other state-issued ID, or passport. Northcentral Technical College will maintain a copy of your photo ID.

In addition, you must sign, in the presence of the institutional official, the Statement of Educational Purpose provided below.

Statement of Educational Purpose

I certify that I ______am the individual signing this Statement of Educational Purpose and

(Print Student’s Name)

that the federal student financial assistance I may receive will only be used for educational purposes and to pay the cost of attending Northcentral Technical College for 2016-2017.

______

(Student’s Signature) (Date)

______

(Student’s ID Number)

If you are unable to appear in person to verify your identity and to sign the Statement of Educational Purpose (section E of this worksheet), please complete the Verification Notary form and return it with this worksheet. The Verification Notary form can be found by visiting our website at www.ntc.edu, clicking on current students > financial aid > financial aid forms > 2016-2017 financial aid forms.

For Office Use Only
o Check this box if a copy of the student’s ID was collected and is attached.
______
(Print NTC Staff Name) (NTC Staff Member Signature and Date)
F. Sign this Worksheet
Each person signing this worksheet certifies that all of the information reported on it is complete and correct. / WARNING: If you purposely give false or misleading information
on this worksheet, you may be fined, be sentenced to jail, or both.
MAIL/RETURN TO: FAX TO:
Student Signature (Required) Date / Northcentral Technical College 715.301.2904
Financial Aid Office Attn: Financial Aid
1000 W Campus Drive Please Include Student Name &
Wausau WI 54401-1899 NTC Student ID #
Spouse Signature (Required If Married) Date
Parent Signature (Required If Parent info is on FAFSA) Date

Page 2 of 2